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Hubungan Kontrasepsi Hormonal Dengan Hipertensi Pada Wanita Usia Subur Di Puskesmas Yosomulyo Sri Saskia Agustin; Firda Fibrila; Yoga Triwijayanti
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.57926

Abstract

Hipertensi jadi penyebab utama kematian dini di seluruh dunia. Estimasi 1,28 miliar orang dewasa usia 30-79 tahun mengalami kondisi ini. Sekitar 46% penderita tidak menyadari bahwa mereka hipertensi. Banyak faktor risiko seperti obesitas, stres, merokok, dan penggunaan kontrasepsi hormonal bisa memicu tekanan darah tinggi. Penelitian ini bertujuan mengetahui hubungan penggunaan kontrasepsi hormonal dengan kejadian hipertensi pada wanita usia subur di Puskesmas Yosomulyo. Metode penelitian kuantitatif dengan desain case control. Populasi kasus yaitu wanita usia subur yang mengalami hipertensi. Populasi kontrol yaitu seluruh wanita usia subur di wilayah tersebut. Sampel terdiri dari 84 responden (28 kasus, 56 kontrol) dipilih purposive sampling. Analisis data pakai uji chi square tingkat kepercayaan 95%. Hasil penelitian menunjukkan 78,6% kasus menggunakan kontrasepsi hormonal, sedangkan 21,4% pakai non-hormonal. P-value 0,002 (<0,05) dan Odds ratio (OR) 5,667 menunjukkan hubungan signifikan. Oleh karena itu diperlukan edukasi lengkap tentang risiko kontrasepsi hormonal agar wanita bisa pilih metode aman sesuai kondisi kesehatan masing-masing.
RELATIONSHIP BETWEEN EXPOSURE TO CIGARETTE SMOKE AND AGE OF FIRST CHILD WITH BREAST CANCER AT A HOSPITAL IN METRO CITY Anggun Anisyabilla; Sadiman Sadiman; Yoga Triwijayanti
Dharmawangsa: International Journal of the Social Sciences, Education and Humanitis Vol 6, No 3 (2025): Social Sciences, Education and Humanities
Publisher : Universitas Dharmawangsa Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46576/ijsseh.v6i3.7966

Abstract

Breast cancer is the most common type of cancer in women worldwide, including in Indonesia. It occurs due to uncontrolled cell growth in breast tissue, which damages surrounding tissue and spreads to other organs. WHO data from 2022 indicates that 2.3 million women were diagnosed with breast cancer and 670,000 died. The exact cause is unknown, but it often occurs in the milk ducts or lobules. Impacts include physical, mental, and emotional conditions. The purpose of this study was to identify the association between household cigarette smoke exposure and age at first pregnancy with breast cancer in the Oncology Surgery Unit of General Ahmad Yani General Hospital, Metro. This quantitative study used a case-control study design, conducted in the Oncology Surgery Unit of a hospital in Metro City. A sample of 82 women was selected using a consecutive sampling technique, consisting of 41 women with breast cancer and 41 women without breast cancer. Data were collected through interviews and review of necessary medical records using a questionnaire. Data analysis used the chi-square test with a 95% confidence level (α = 0.05). The results showed that 31.7% of adult women in the case group had a history of cigarette smoke exposure at home for >26 years. Forty-one percent of adult women in the case group had their first pregnancy aged >35 years. Statistical tests showed a significant association between cigarette smoke exposure and breast cancer incidence (p = 0.004 and OR = 9.054). Age at first pregnancy >35 years was also significantly associated with breast cancer incidence (p = 0.002; OR = 6.552). The study concluded that there is a significant association between cigarette smoke exposure and age at first pregnancy >35 years and breast cancer incidence. Breast cancer prevention is important by implementing smoke-free areas at the household level and avoiding pregnancy at risk through education.